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  1. psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
    February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …
  2. psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group
    November 21, 2021 - Study Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. Citation Text: Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog group qu…
  3. psnet.ahrq.gov/issue/associations-between-healthcare-environment-design-and-adverse-events-intensive-care-unit
    August 17, 2022 - Study Associations between healthcare environment design and adverse events in intensive care unit. Citation Text: Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:1…
  4. psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
    March 24, 2019 - Study Investigating the long-term consequences of adverse medical events among older adults. Citation Text: Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…
  5. psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
    September 20, 2012 - Study A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. Citation Text: Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Hea…
  6. psnet.ahrq.gov/issue/using-computerized-provider-order-entry-and-clinical-decision-support-improve-referring
    August 20, 2018 - Study Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. Citation Text: Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support…
  7. digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink/annual-summary/2010
    January 01, 2010 - Improving Pediatric Cancer Survivorship Care Through SurvivorLink - 2010 Project Name Improving Pediatric Cancer Survivorship Care Through SurvivorLink Principal Investigator Mertens, Ann Organization Emory University Funding Mechanism RFA: HS08-002: Ambulatory Safe…
  8. psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia-284-us-hospitals
    October 09, 2024 - Study Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. Citation Text: Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…
  9. psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
    July 03, 2014 - Study Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. Citation Text: Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…
  10. psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
    August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Appendix 3-B. Pre/Post-Test Questions and Answers for Module 3 Previous Page   Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating…
  12. www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 1. Introduction Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA De…
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-aspiration-pneumonia.docx
    June 01, 2021 - DiagnosisAspiration Pneumonitis and Aspiration Pneumonia · Aspiration pneumonitis is an abrupt chemical injury caused by inhalation of sterile gastric contents. It generally causes fever, increased oxygen requirements, and an elevated white blood cell count, and this typically resolves…
  14. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
    June 01, 2023 - Section 2: Explanation of Mutual Support Key Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS mutual support concepts and tools. If you teach this content or want additional insights into how the material can be mor…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
    June 02, 2025 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Technical Specifications This measure assesses the percentage of children, 1 through 17 years old, for whom computed tomography (CT) imaging of the head is obtained for the evaluation of a first…
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-one-pager.pdf
    September 01, 2022 - Community-Acquired Pneumonia Community-Acquired Pneumonia Diagnosis Symptoms: Cough (generally with increased sputum), fevers, shortness of breath, or chest pain Exam: Tachycardia, tachypnea, or decreased oxygen saturation with rhonchi or crackles • In patients with obvious signs and symptoms of …
  17. psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
    January 23, 2019 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…
  18. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
    June 01, 2023 - Tool: STEP STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…
  19. psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…
  20. www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf1.html
    October 01, 2014 - Implementing USPSTF Recommendations into Health Professions Education Introduction This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) recommendations and resources in campus and communit…